1 / 8

Delivering (and Sustaining) Services on Scale. Anywhere.

Delivering (and Sustaining) Services on Scale. Anywhere. November 20, 2008 Gopi Gopalakrishnan. Time to Go Rural. Challenge: How to deliver services on scale in any part of the world, however rural or remote

hedia
Download Presentation

Delivering (and Sustaining) Services on Scale. Anywhere.

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Delivering (and Sustaining) Services on Scale. Anywhere. November 20, 2008 Gopi Gopalakrishnan

  2. Time to Go Rural • Challenge: How to deliver services on scale in any part of the world, however rural or remote • Primarily in areas where the public sector is ineffective or unavailable • Private sector is the only other option for large-scale service delivery Using private sector to target the poor needs ability to reconcile two naturally divergent forces

  3. Using Private Sector -- A Quick Review • 20 years ago, focus was primarily urban. Demand creation was difficult, supply was relatively easy • For products—we just used supply infrastructure created by private companies • For services—the challenge was day to day management but personnel, premises and communication vehicles were more easily available

  4. Delivery in Rural Areas—Need is for New Set of Paradigms • Demand is a given—even for family planning, unmet need is estimated at 20%. Health care is even more • Adequate finances available • Binding constraint is providers—for subsidised products, volumes are too small; for services, the appropriate providers are unavailable or unwilling • Clients will some services only if available closeby • Vertical provisioning is unviable and unsustainable • Preventive care (and low level curative care) has not much attraction • Public sector is willing to support provision through private providers • Skilled providers not willing to stay in rural areas—will work only for short periods

  5. Programmatic Structure • Create a viable package which will leverage and sustain interest • Curative part of package will anchor it financially • Preventive part is a non-negotiable part • Develop technology to fit service delivery and not vice versa • Flexibility to adapt to uncertainties that come with the territory

  6. Overview • Create a basket of services that combines preventive with curative services • Identify and induct a range of providers on the basis of competency and inter-link them financially • Three broad functions for providers: • Provide services directly • Facilitate services through other networks (and earn) • Manage provision by WHP (and earn) • Use financial instruments to leverage public sector support Determine services that are of primary interest, quantify and work toward achieving them

  7. WHP Service Delivery Structure S p e c i a l i s t s T h i n k T a n k F r a n c h i s e e D o c t o r s C e n t r a l M e d i c a l F a c i l i t y 9 W H PO f f i c e D I a g n o s t I c C e n t e r s SKY HEALTHT e l e m e d i c i n e C e n t e r s S h o p s 9 0 0 1 0 0 S u p p l i e s SKY CARE V i l l a g e P r o v i d e r s 1 , 0 0 0 V i l l a g e s

  8. Impact • Project aims to address over 20% of unmet need in year 1 • 33% increase in contraceptive prevalence rate in 4 years

More Related